| NPI | 1689005894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 104100000X Social Worker | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |